Individual
STEPHEN PAUL DALCERRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
409 CTY RD R, BLACK RIVER FALLS, WI 54615
(715) 284-9477
(715) 284-5547
Mailing address
1707 MAIN ST, LA CROSSE, WI 54601-4200
(608) 785-0001
(608) 785-0002
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
1949-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180056
UCARE
MN
05
—
39683800
—
WI
01
—
49948
SECURITY HEALTH PLAN
—
Enumeration date
12/08/2006
Last updated
07/08/2010
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